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Waterpipe smoking: analysis of the aroma profile of flavored waterpipe tobaccos 2013
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Talanta
Periodical, Abbrev.
Talanta
Pub Date Free Form
Volume
115
Issue
Start Page
665
Other Pages
74
Notes
ID: 24054646
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
In the last years the habit of smoking waterpipes has spread worldwide, especially among young people and emerged as global health issue. Although research is now under way for no less than 40 years in the field of waterpipe smoking, in comparison to cigarette smoking there is still insufficient knowledge on the real composition and the toxicity of the smoke inhaled and the resulting levels of exposure against particular hazardous ingredients. In most cases for waterpipe smoking a highly flavored tobacco called "moassel" is used. However, the number, quantity and toxicity of the added flavorings are widely unknown. In this study the static headspace gas chromatography-mass spectrometry (SHS-GC-MS) was used to identify 79 volatile flavor compounds present in waterpipe tobacco. Among these eleven compounds were analyzed quantitatively. The results show that waterpipe tobacco contains high amounts of the fragrance benzyl alcohol as well as considerable levels of limonene, linalool and eugenol, all of which are known as being allergenic in human skin. The proposed SHS-GC-MS method has been validated and found to be accurate, simple and characterized by low limits of detection (LOD) in the range of 0.016 to 4.3 µg/g tobacco for benzaldehyde and benzyl alcohol, respectively. The identification and characterization of waterpipe tobacco ingredients indeed reveals crucial for the assessment of potential health risks that may be posed by these additives in smokers.
Descriptors
Links
http://dx.doi.org/10.1016/j.talanta.2013.06.022
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Schubert,Jens, Luch,Andreas, Schulz,Thomas G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking: construction and validation of the Lebanon Waterpipe Dependence Scale (LWDS-11) 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
10
Issue
1
Start Page
149
Other Pages
58
Notes
ID: 18188755
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Waterpipe smoking is becoming fashionable in Lebanon, but no studies have studied nicotine dependence related to waterpipe smoking. A score was constructed from 21 items and subsequently submitted to two factor analyses, which led to the extraction of four factors. Reliability and test-retest reproducibility were measured. Convergent construct validity and discriminant validity also were assessed for different smokers' samples. The Lebanon Waterpipe Dependence Scale-11 (LWDS-11) was composed of four subscales, the first representing nicotine dependence, the second negative reinforcement, the third psychological craving, and the fourth positive reinforcement. Internal consistency and test-retest reproducibility were adequate, and the subscales correlated adequately with measurements of nicotine metabolites, exhaled carbon monoxide levels, and the frequency of waterpipe smoking. The LWDS-11 discriminated between mild, moderate, and heavy waterpipe smokers, based on a threshold score of 10. Results were biologically and psychologically sound. This is the first scale to characterize waterpipe dependence. With further improvement and confirmation, it could become a useful clinical and epidemiological tool.
Descriptors
Behavior, Addictive/diagnosis, Smoking, Questionnaires, Tobacco Use Disorder/diagnosis, Behavior, Addictive/psychology, Factor Analysis, Statistical, Female, Humans, Lebanon, Male, Psychometrics, Quality of Life, Reproducibility of Results, Sensitivity and Specificity, Tobacco Use Disorder/classification
Links
http://dx.doi.org/10.1080/14622200701767753
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Salameh,Pascale, Waked,Mirna, Aoun,Zeina
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking: not necessarily less hazardous than cigarette smoking : Possible consequences for (cardiovascular) disease 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Neth Heart J
Periodical, Abbrev.
Pub Date Free Form
Volume
22
Issue
3
Start Page
91
Other Pages
9
Notes
ID: 24307377
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
CONTEXT: Cigarette smoking has declined over the last years in modern countries. On the contrary, waterpipe smoking has increased, especially among young people visiting waterpipe bars. Unfortunately, most waterpipe smokers seem to know little about the possible cardiovascular and other health consequences of waterpipe smoking. OBJECTIVE: To describe by narrative literature review the known adverse consequences for the human body caused by smoking the waterpipe compared with the consequences of smoking normal cigarettes. Also, to get a picture of public awareness of these consequences as deducted from the literature and a small new survey in the Netherlands. RESULTS/CONCLUSIONS: Tobacco smoking is associated with serious adverse (cardiovascular) health effects, and there is no evidence that these effects are less serious if a waterpipe is used. The increasing use together with the limited amount of awareness and attention for the possible health consequences of smoking the waterpipe is worrisome. Especially considering the increasing acceptance and use of the waterpipe among the youth. Therefore we recommend more systematic research into the possible health hazards of waterpipe smoking. In the meantime education campaigns and materials are needed to raise public awareness on the possible health risks of waterpipe use.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Jukema,J B., Bagnasco,D E., Jukema,R A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking: prevalence and attitudes among medical students in London 2013 Faculty of Medicine, Imperial College, London, UK. mohammed.jawad06@imperial.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
Periodical, Abbrev.
Int.J.Tuberc.Lung Dis.
Pub Date Free Form
Jan
Volume
17
Issue
1
Start Page
137
Other Pages
140
Notes
LR: 20130926; JID: 9706389; EIN: Int J Tuberc Lung Dis. 2013 Sep;17(9):1246; ppublish
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 23232013
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.5588/ijtld.12.0175 [doi]
Output Language
Unknown(0)
PMID
23232013
Abstract
Although waterpipe smoking is growing in popularity worldwide, its epidemiology remains poorly understood. The purpose of this study was to determine the prevalence and attitudes of waterpipe smoking among 489 medical students (54.6% female; mean age 20.4 +/- 2.0 years) in the United Kingdom by conducting a cross-sectional survey. Waterpipe smoking was more common than cigarette smoking (current 11.0% vs. 6.3%, ever 51.7% vs. 16.8%). Mean age at waterpipe smoking initiation was 16.1 +/- 2.6 years. Sex, ethnicity and sociodemographic factors did not predict current/ever waterpipe smoking. Tobacco control efforts need to consider waterpipe smoking in the light of this high prevalence.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Abass,J., Hariri,A., Rajasooriar,K.G., Salmasi,H., Millett,C., Hamilton,F.L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking: the role of humectants in the release of toxic carbonyls 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Arch Toxicol
Periodical, Abbrev.
Arch.Toxicol.
Pub Date Free Form
Volume
86
Issue
8
Start Page
1309
Other Pages
16
Notes
ID: 22707202
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
In recent years, the number of waterpipe smokers has increased substantially worldwide. Here, we present a study on the identification and quantification of seven carbonylic compounds including formaldehyde, acetaldehyde and acrolein in the mainstream smoke of the waterpipe. Smoking was conducted with a smoking machine, and carbonyls were scavenged from the smoke with two impingers containing an acidic solution of 2,4-dinitrophenylhydrazine. The derivatives were then analyzed by high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS). For instance, during one waterpipe smoking session, up to 111 ± 12 µg formaldehyde could be detected. This value is about 5 times higher when compared to one 2R4F reference cigarette. We also found a distinct filter effect of the bowl water for all carbonyls investigated. Our data further demonstrate that increasing amounts of humectants in the unburned tobacco lowers the temperature in the waterpipe head during smoking, thereby resulting in decreasing levels of carbonyls in the smoke produced. Altogether, considerable amounts of toxic carbonyls are present in the waterpipe smoke, thus conferring a health risk to waterpipe smokers.
Descriptors
Links
http://dx.doi.org/10.1007/s00204-012-0884-5
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Schubert,Jens, Heinke,Volkmar, Bewersdorff,Jana, Luch,Andreas, Schulz,Thomas G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe tobacco and cigarette smoking among university students in Jordan 2012 Department of Medical Laboratory Sciences, Jordan University for Science and Technology, Irbid, Jordan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
Periodical, Abbrev.
Int.J.Tuberc.Lung Dis.
Pub Date Free Form
Jul
Volume
16
Issue
7
Start Page
986
Other Pages
992
Notes
LR: 20151119; GR: K07 CA114315/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R01-CA120142/CA/NCI NIH HHS/United States; GR: R01-CA140150/CA/NCI NIH HHS/United States; GR: R03-TW008371/TW/FIC NIH HHS/United States; JID: 9
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 22525279
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.5588/ijtld.11.0764 [doi]
Output Language
Unknown(0)
PMID
22525279
Abstract
SETTING: While waterpipe and cigarette smoking have been well studied in Syria and Lebanon, data from Jordan are limited. OBJECTIVES: To characterize the relative prevalence of waterpipe tobacco and cigarette smoking among university students in Jordan, and to compare the demographic and environmental factors associated with each form of tobacco use. DESIGN: We surveyed 1845 students randomly recruited from four universities in Jordan. We used multivariable logistic regression controlling for clustering of individuals within universities to determine associations between demographic and environmental covariates and waterpipe tobacco and cigarette use. RESULTS: Waterpipe tobacco smoking rates were 30% in the past 30 days and 56% ever, while cigarette smoking rates were 29% in the past 30 days and 57% ever. Past 30-day waterpipe tobacco smoking rates were 59% for males and 13% for females. Females had substantially lower odds than males of being current waterpipe (OR 0.12, 95%CI 0.10-0.15) or cigarette (OR 0.08, 95%CI 0.05-0.14) smokers. Current cigarette smoking was more significantly associated with markers of high socio-economic status (SES) than waterpipe tobacco smoking. CONCLUSION: Waterpipe tobacco smoking is as common as cigarette smoking among Jordanian university students. While cigarette smoking is consistently associated with high SES, waterpipe tobacco smoking is more evenly distributed across various populations.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Khabour,O.F., Alzoubi,K.H., Eissenberg,T., Mehrotra,P., Azab,M., Carroll,M.V., Afifi,R.A., Primack,B.A.
Original/Translated Title
URL
Date of Electronic
20120416
PMCID
PMC3570564
Editors
Waterpipe tobacco and cigarette smoking: direct comparison of toxicant exposure 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Am J Prev Med
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Volume
37
Issue
6
Start Page
518
Other Pages
23
Notes
ID: 19944918
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Waterpipe (hookah, shisha) tobacco smoking has spread worldwide. Many waterpipe smokers believe that, relative to cigarettes, waterpipes are associated with lower smoke toxicant levels and fewer health risks. For physicians to address these beliefs credibly, waterpipe use and cigarette smoking must be compared directly. PURPOSE: The purpose of this study is to provide the first controlled, direct laboratory comparison of the toxicant exposure associated with waterpipe tobacco and cigarette smoking. METHODS: Participants (N=31; M=21.4 years, SD=2.3) reporting monthly waterpipe use (M=5.2 uses/month, SD=4.0) and weekly cigarette smoking (M=9.9 cigarettes/day, SD=6.4) completed a crossover study in which they each smoked a waterpipe for a maximum of 45 minutes, or a single cigarette. Outcome measures included expired-air carbon monoxide (CO) 5 minutes after session's end, and blood carboxyhemoglobin (COHb), plasma nicotine, heart rate, and puff topography. Data were collected in 2008-2009 and analyzed in 2009. RESULTS: On average, CO increased by 23.9 ppm for waterpipe use (SD=19.8) and 2.7 ppm for cigarette smoking (SD=1.8), while peak waterpipe COHb levels (M=3.9%, SD=2.5) were three times those observed for cigarette smoking (M=1.3%, SD=0.5; p's<0.001). Peak nicotine levels did not differ (waterpipe M=10.2 ng/mL, SD=7.0; cigarette M=10.6 ng/mL, SD=7.7). Significant heart rate increases relative to pre-smoking were observed at 5, 10, 15, 20, 25, and 35 minutes during the cigarette session and at 5-minute intervals during the waterpipe session (p's<0.001). Mean total puff volume was 48.6 L for waterpipe use as compared to 1.0 L for cigarette smoking (p<0.001). CONCLUSIONS: Relative to cigarette smoking, waterpipe use is associated with greater CO, similar nicotine, and dramatically more smoke exposure. Physicians should consider advising their patients that waterpipe tobacco smoking exposes them to some of the same toxicants as cigarette smoking and therefore the two tobacco-smoking methods likely share some of the same health risks.
Descriptors
Carbon Monoxide/analysis, Inhalation Exposure/analysis, Smoking, Tobacco Smoke Pollution/analysis, Adolescent, Adult, Cross-Over Studies, Equipment Design, Humans, Middle Aged, Virginia, Water, Young Adult
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805076/?tool=pubmed; http://dx.doi.org/10.1016/j.amepre.2009.07.014
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Eissenberg,Thomas, Shihadeh,Alan
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe tobacco and electronic cigarette use in a southeast London adult sample: a cross-sectional analysis 2016 Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire SO16 6YD, UK Department of Primary Care and Public Health, Imperial College London, Hammersmith W6 8RP, UK.; Community and Safety Enforcement on Behal
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of public health (Oxford, England)
Periodical, Abbrev.
J.Public.Health.(Oxf)
Pub Date Free Form
Jun
Volume
38
Issue
2
Start Page
e114
Other Pages
21
Notes
CI: (c) The Author 2015; JID: 101188638; OTO: NOTNLM; 2015/08/25 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1741-3850; 1741-3842
Accession Number
PMID: 26311821
Language
eng
SubFile
Journal Article; IM
DOI
10.1093/pubmed/fdv106 [doi]
Output Language
Unknown(0)
PMID
26311821
Abstract
BACKGROUND: Waterpipe tobacco and electronic cigarettes (e-cigarettes) share several features: rising popularity, use of product flavourings and concerns about marketing to youth. We sought to compare prevalence and predictors of waterpipe tobacco and e-cigarette use, and explore knowledge of waterpipe tobacco and support for interventions. METHODS: We used convenience sampling methods to conduct a cross-sectional survey among adults in the ethnically diverse southeast London area. Multivariate logistic regression identified predictors of waterpipe and e-cigarette use. Predictor variables were age, gender, ethnicity and current (past 30-day) cigarette use. RESULTS: Of 1176 respondents (23.0% aged 25-34 years, 56.0% male, 57.4% white ethnicity and 30.4% current cigarette smokers), 31.0% had tried waterpipe tobacco and 7.4% had tried e-cigarettes. Both products were significantly associated with younger age groups, non-white ethnicities and use of each other. Waterpipe tobacco was independently associated with consumption of cigarettes while e-cigarettes were not. Among those aware of waterpipe, a third answered incorrectly to knowledge questions. Among those self-identified as coming from a traditional waterpipe-using community, two-thirds supported further legislative and health promotion waterpipe interventions. CONCLUSIONS: Waterpipe tobacco was common and more prevalent than e-cigarettes in this population. Interventions to prevent and control waterpipe are unlikely to marginalize traditional waterpipe-using communities.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of Faculty of Public Health
Data Source
Authors
Jawad,M., Power,G.
Original/Translated Title
URL
Date of Electronic
20150825
PMCID
Editors
Waterpipe tobacco dependence in U.K. male adult residents: a cross-sectional study 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
16
Issue
3
Start Page
316
Other Pages
25
Notes
ID: 24130142
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: The prevalence of waterpipe tobacco smoking (WPTS) is increasing worldwide. The aims of this study were (a) to evaluate the psychometric properties of the Lebanon Waterpipe Dependence Scale (LWDS-11), and (b) to assess, estimate, and identify factors associated with waterpipe tobacco dependence symptoms among U.K. male adult resident waterpipe tobacco smokers. METHODS: A total of 180 waterpipe tobacco smokers were recruited during random visits to 7 outlets serving waterpipe tobacco. Data were collected via face-to-face interviews using the WPTS module of the Global Adult Tobacco Survey and the LWDS-11. Descriptive statistics, exploratory psychometric, univariate, and Poisson regression analysis were employed. RESULTS: Participants' M/SD age was 29.46/±9.41 years, Arabic ethnicity accounted for 58.3%, and 53.9% had completed more than secondary education. Psychometric analyses for the LWDS-10, after removing 1 item from the generic scale, revealed Cronbach's alpha coefficient = 0.74. About 47% of the sample demonstrated waterpipe tobacco dependence. Being Arab (p = .040, OR = 2.63, 95% CI = 1.05-6.62), smoking waterpipe daily in the past (p = .003, OR = 2.13, 95% CI = 1.30-3.49), and an increase in length in the last session of WPTS (p = .044, OR = 1.15, 95% CI = 1.00-1.32) were identified as risk factors for waterpipe tobacco dependence. CONCLUSIONS: This study demonstrated the potential of LWDS-11 and revealed 2 domains: positive and negative reinforcement and physiological dependence. Results indicated that waterpipe tobacco smokers in the United Kingdom demonstrated tobacco dependence symptoms, which were associated with socio-behavioral factors. Generalizability of these findings and their implications in public health are yet to be investigated.
Descriptors
Links
http://dx.doi.org/10.1093/ntr/ntt148
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Kassim,Saba, Al-Bakri, Ali, Al'Absi, Mustafa, Croucher,Ray
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe tobacco labeling and packaging and World Health Organization Framework Convention on Tobacco Control (WHO FCTC): a call for action 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction
Periodical, Abbrev.
Addiction
Pub Date Free Form
Volume
109
Issue
2
Start Page
333
Other Pages
333
Notes
ID: 24329993
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
http://dx.doi.org/10.1111/add.12409
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Bahelah,Raed
Original/Translated Title
URL
Date of Electronic
PMCID
Editors